iiinova — where your digital self keeps evolving

Jamie Small @jamiesmall.co.nz · 06/10/2026

Jesus Christ those are bad edits. Also who's editing in blue ink?

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Jamie Small @jamiesmall.co.nz · 06/10/2026

Thank you! from someone who had work commitments tonight but really wanted to be watching the debate

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Jamie Small @jamiesmall.co.nz · 05/10/2026

The needle squeals as I jam the turntable on my podcast record player. I lift off some half-finished dreary treatise on modern fascism and frisbee it out the window. "New Books Could Kill just dropped!"

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Jamie Small @jamiesmall.co.nz · 03/10/2026

Never a more important time to get loud about saving public healthcare #nzpol

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Jamie Small @jamiesmall.co.nz · 30/09/2026

Those lucky lucky people. Truly a blessed generation

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Jamie Small @jamiesmall.co.nz · 29/09/2026

Do a thread on what you included and why so others can also build them!

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Jamie Small @jamiesmall.co.nz · 26/09/2026

Party guests said they found my cake "upsetting" and "difficult to enjoy despite the fact the flavour is quite good"

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Jamie Small @jamiesmall.co.nz · 26/09/2026

The Happy Song is so obviously by a strung-out desperate parent at the end of their sleepy tether. "Ping! A submarine! Whew a helicopter! Uh... a choo choo train! Oh shit it's working, write it down!"

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Jamie Small @jamiesmall.co.nz · 25/09/2026

What the sweet everloving fuck is that headline

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Jamie Small @jamiesmall.co.nz · 24/09/2026

Piranesi is a delightful outlier. I'm 20% of the way through, still have absolutely no idea what this book is about, and feel pulled as of by a ratchet to keep turning the pages. Susanna Clarke is a treasure. #booksky

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Jamie Small @jamiesmall.co.nz · 24/09/2026

If you're going to bring on partisans as opinion writers, at the very least vet them for ability to write first.

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Jamie Small @jamiesmall.co.nz · 22/09/2026

Federated Farmers too? How do farmers not realise they're getting reamed both by the energy gentailers and the supermarket duopsony? www.nzherald.co.nz/business/zur...

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Jamie Small @jamiesmall.co.nz · 18/09/2026

This is worse than the cheesiest fake biz lingo I would put in a satirical short story

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Jamie Small @jamiesmall.co.nz · 18/09/2026

No jump scares that i can remember. Very good psychological thriller!

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Jamie Small @jamiesmall.co.nz · 17/09/2026

And everyone can tell my posts aren't AI thanks to the horrendous typos and autocorrects

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Jamie Small @jamiesmall.co.nz · 17/09/2026

This is it, eh. In some ways I can't blame the low-cash communities I'm involved with for making slop posters. Because I have the skills to make realnpisters, but I don't have the time. And if I won't do it, who will? Still, I'd love to see less slop. Good paint job!

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Jamie Small @jamiesmall.co.nz · 16/09/2026

I don't think any polling companies do this because small sample sizes would lead to wildly inaccurate results. From memory there may in the past have been polling in a couple of important electorates? But that may be a memory hallucination. Best you can do is look at previous results

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Jamie Small @jamiesmall.co.nz · 15/09/2026

If you find yourself in Tekapo, Kohan Restaurant does a mean natto and salmon

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Jamie Small @jamiesmall.co.nz · 14/09/2026

If Nats win I hope they have the balls to refuse Paul Henry a ministerial portfolio, in the awareness that he's going to shoot from the hip and be un-fireable without collapsing the government. Of course, I have no faith in said testicular fortitude #nzpol

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Jamie Small @jamiesmall.co.nz · 14/09/2026

The real third gender was the friends we made along the way.

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Jamie Small @jamiesmall.co.nz · 14/09/2026

A bunch of cooker outlets like RCR and The Platform cropped up because ACT and NZF think that mainstream media are too mean to them. There's no protection there. While it is good to challenge and question the mainstream media, it is dangerous to undermine trust with untrue allegations

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Jamie Small @jamiesmall.co.nz · 14/09/2026

Is there a media problem where they squeeze Greens harder than ACT? Yes, and there are myriad reasons for that and they should be addressed. Is there a cabal of journalists conspiring to protect ACT? No, and that's not how newsrooms work.

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Jamie Small @jamiesmall.co.nz · 14/09/2026

No, I've seen your posting about this over the years and usually don't engage. Any journo or editor would jump at the chance to claim a political scalp like Seymour's. The truth is this story was never going to take him down.

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Jamie Small @jamiesmall.co.nz · 14/09/2026

Literally the first sentence of the article names him as former ACT Party president. Like, absolutely take your swings about headline choices but the narrative that the media is "protecting ACT" is conspiracy theory stuff. FWIW I agree there are problems with the coverage, but that's not it.

First paragraph of the article: Days after the former ACT Party President accepted, for the first time, he had sexually abused all his teenage victims..."

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Jamie Small @jamiesmall.co.nz · 13/09/2026

10/10 most fun opening pages I've ever read.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

Wait he actually used the term "cultural marxists"? Fucking dog whistle much?

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Jamie Small @jamiesmall.co.nz · 10/09/2026

It should be normal! I'm glad you have that access – it may extend your life.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

It used to be normal to have a proactive GP who knows you. Now we call it "lucky". Soon I think we'll call it a thing of the past.

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Reposted by Jamie Small

Eleanor G @zaichishka.bsky.social · 10/09/2026

My GP is amazing and she moved heaven and earth when I got sick this time last year. I think that if she hadn't been so proactive, I wouldn't have been diagnosed so quickly and my prognosis wouldn't have been as good. Pay our medical professionals what they're worth and employ more of them!

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Jamie Small @jamiesmall.co.nz · 10/09/2026

The circular issue, right! Not enough GPs = more health issues and more referrals. More referrals means more declined Xrays, which means worse patient outcomes (and GP burnout!)

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Reposted by Jamie Small

Greg Bond @docgregb.bsky.social · 10/09/2026

This sounds familiar (though I absolutely can’t function beyond midnight). To add a small point. The answer isn’t AI or virtual consults. It is more GPs to meet the demands of an ageing, unwell population. And a work structure that doesn’t rob us of our family time & sleep just to do the job.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

Yup, and I'd go one further: it's not just about who you vote for but actually emailing or talking to your politicians and saying "your policies still aren't good enough. What are you going to do to make sure your party funds GP?"

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Jamie Small @jamiesmall.co.nz · 10/09/2026

It's also the chronic conditions. This is a huge and poorly understood issue. Lots of *should* see their GP every 6 weeks to manage and touch base. But life is hard. You forget to book and then there's another 3 week wait. In the meantime a simple symptom blows out to a hospital-grade complication.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

Source: I work for @gpaotearoa.co.nz Also, as mentioned, my wife is a GP.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

When you read about crowded and failing hospitals, think more critically than the politicians do. Think: this is because we don't have enough GPs. #nzpol

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Jamie Small @jamiesmall.co.nz · 10/09/2026

This article from today, and just about every article like it, are symptoms of an underfinded primary healthcare system that works its GPs into the ground. www.stuff.co.nz/nz-news/3610...

stuff.co.nz

‘I really love my job’: Why a veteran ED nurse walked away

Emergency department doctors and nurses across New Zealand describe conditions they say are unsafe

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Jamie Small @jamiesmall.co.nz · 10/09/2026

Simple answer: it's not sexy. You can't campaign on paying GPs better. You can't have a ribbon-cutting photoshoot for simple systemic fixes. GPs suffer from the gender pay gap, and from being legally/structurally blocked from unionising. Politics has a short attention span.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

It's not hard. Our GPs *want* to stay in their profession. They love it. With a little bit of political attention and care (and funding), Aotearoa could stop the GP crisis and swell the ranks. So why won't politicians commit to saving the health system from the bottom up?

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Jamie Small @jamiesmall.co.nz · 10/09/2026

You want to save ED and hospital beds? What you need is patients in rooms with their own GP – an expert diagnostician – who knows them, can look them in the eye and talk, can physically assess them. That saves health and productivity, it saves lives, and it saves billions of #nzpol tax dollars.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

And you can't simply replace an in-person GP with telehealth, or a pharmacy visit, or a nurse appointment. Those appointment types are totally appropriate some of the time, but not as a catch-all for the people who can't see a GP.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

When there aren't enough GPs, the effects are terrible. People who cant see their GP on the day go to ED instead. Same for people who had a minor issue that blew up while they waited weeks for an appointment. Chronic health conditions that should be seen regularly become complicated and go to ED.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

This #nzpol government in particular seems determined to chase GPs out of their roles and replace them with cheap-sounding systems that actually cost more in the medium-long term. Often they cost more in the short term. Telehealth, imported physician associates, anything to avoid funding GPs.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

Where are they going? GPs are dropping hours to part time; they're retiring earlier than planned; they're switching to hospital specialties with better pay, on-call contracts and overtime; they're moving to Australia. They're burning out at record rates.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

GPs are leaving the specialty left right and centre, and who can blame them? The resources and systems GPs need to do their jobs have been left to wither or actively stripped away. It's the worst paid medical specialty with the most unpaid hours.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

If you squint, the system sort of still looks like it works, because GPs care about their patients and will do a crapload of unpaid hours to make sure they get the attention and care they need. But it ain't right, and it's not sustainable. It's deteriorating fast.

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Jamie Small @jamiesmall.co.nz · 10/09/2026

Yesterday my wife, a GP, clocked out at 5pm. Stayed at the clinic until 5:45 when she had to go to a class, then spent time with the kids before bedtime. ➡️Then she worked on her laptop until 3 am⬅️ This is not unusual for GPs. It's happening every day, and it's because of under-reaourcing #nzpol

Your GP is here for you. Everyone deserves a whānau doctor.
www.everyone.gpaotearoa.co.nz

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Jamie Small @jamiesmall.co.nz · 09/09/2026

Tagged in the wife, who consulted the Enchiridion and got the job done.

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